During Power Outages:

Do NOT keep vaccines in a non-functioning unit for an extended period of time.

If the power outage is short-term:

Do not open vaccine fridge door until the power is restored. Most refrigerated vaccines are relatively stable at room temperature for limited periods of time

Monitor and document maximum-minimum and current temperature of your vaccine fridge at least twice daily if possible. Do not open fridge door to check temperatures

Document the length of time the power has been off and the minimum and maximum temperature observed within the fridge

For anticipating prolonged power outage, consider vaccine transport procedures to an alternate facility. Follow proper cold chain procedures for storage and handling.Include list of vaccine inventory by name, lot number and amount of doses

When power has been restored:

Record the temperature of the fridge after power has been restored, when possible

Continue to monitor fridge temperatures until they are within 2°C to 8°C range then twice daily

All facilities who experienced prolonged power outage must report to Toronto Public Health to have their vaccines assessed

Do not discard or administer the vaccine until you have consulted with Toronto Public Health. We will be working with the vaccine manufacturers to determine which vaccines may be viable. Bag exposed vaccines and keep separate from new products. Continue to monitor and log temperature range twice daily